Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Marlisa Rose Wolf, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508220062

Dr. Marlisa Rose Wolf, MD is a Student in an Organized Health Care Education/Training Program in Detroit, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Children's Hospital Of Mi - 3rd Fl 3901 Beaubien
Detroit, MI 48201
Phone: (313) 966-0128
Fax: (313) 993-0390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3901 Beaubien St, Detroit, MI 48201-2119 — (313) 745-5146

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4301116977 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508220062
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 11, 2016
Last updated in NPPESApril 17, 2019

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